The Relationship Between Body Mass Index and Periodontitis in the Copenhagen City Heart Study

Kongstad, Johanne; Hvidtfeldt, Ulla Arthur; Grønbæk, Morten; Stoltze, Kaj; Holmstrup, Palle

doi:10.1902/jop.2009.080559

Cited by 82 publications

(110 citation statements)

References 32 publications

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“…[23] Additionally, these findings confirmed the results obtained by Xie (2014) who found the proportion of women with periodontitis in under/normal weight, overweight & obese groups were 50.7%, 64.9% & 83.7%, respectively (p < 0.01). [56] However, finding of other previous studies were in contrast to the finding of our study, they failed to demonstrate significant positive associations between obesity and periodontitis, as measured by probing depth & Clinical Attachment Level (CΑL) [99,100] Risks for the occurrence and progression of gingivitis/periodontitis highly increase during pregnancy. [101] Vogt et al, (2012) reported that, the prevalence of periodontаl disease was 47%.…”

Section: Discussioncontrasting

confidence: 91%

Association between Pre-pregnant Overweight and Obesity and Periodontal Disease during Pregnancy: A Cross Sectional Study

Sheha¹,

Hassan²,

Gamel³

2017

IJSN

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Background: Obesity is considered а noteworthy public health issue in both developed & developing countries. Among the 1.5 billion overweight individuals worldwide, 300 million of them were obese women. In the general, the prevalence of maternal obesity has increased 60% in the previous two decades with nearly 1 in 3 women now entering pregnancy obese. Also, the periodontаl disease has been observed to be prevalent in pregnant women with the prevalence ranging from 20% to more than 50%, especially economically disadvantaged women.Aim: explore the relation between pre-pregnant overweight and obesity with periodontal disease during pregnancy.

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Section: Discussioncontrasting

confidence: 91%

Association between Pre-pregnant Overweight and Obesity and Periodontal Disease during Pregnancy: A Cross Sectional Study

Sheha¹,

Hassan²,

Gamel³

2017

IJSN

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“…As determinant of periodontitis, we used a mean loss of attachment of at least 2.55 mm [27,37,38]. This may not be a precise assessment measure of the disease processes associated with periodontitis, because it only includes evidence of past tissue degeneration and not the current state of the disease.…”

Section: Discussionmentioning

confidence: 99%

Immunoglobulin G antibodies againstPorphyromonas gingivalisorAggregatibacter actinomycetemcomitansin cardiovascular disease and periodontitis

Damgaard

Reinholdt

Enevold

et al. 2017

Journal of Oral Microbiology

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Objectives: The aim was to elucidate whether levels of circulating antibodies to Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis correlate to loss of attachment, as a marker for periodontitis and cardiovascular disease (CVD). Design: Sera were collected from 576 participants of the Danish Health Examination Survey (DANHES). Immunoglobulin G antibodies against lipopolysaccharide (LPS) and protein antigens from the a, b and c serotypes of A. actinomycetemcomitans and P. gingivalis were quantified by titration in ELISA plates coated with a mixture of antigens prepared by disintegration of bacteria. Results: Levels of antibodies against P. gingivalis (OR = 1.48) and A. actinomycetemcomitans (1.31) associated with periodontitis, as determined by univariable logistic regression analysis. These antibody levels also associated with CVD (1.17 and 1.37), respectively, However, after adjusting for other risk factors, including age, smoking, gender, alcohol consumption, overweight, and level of education using multivariable logistic regression analysis, only increasing body mass index (BMI; 1.09), previous smoking (1.99), and increasing age (decades) (2.27) remained associated with CVD. Increased levels of antibodies against P. gingivalis (1.34) remained associated with periodontitis after adjusting for other risk factors. Conclusions: CVD and periodontitis were associated with levels of IgG antibodies to P. gingivalis or A. actinomycetemcomitans in univariable analyses, but only the association of P. gingivalis antibody levels with periodontitis reached statistical significance after adjustment for common confounders. Age, in particular, influenced this relationship.

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“…was reported for the relationship between obesity and periodontitis. 34 Although several studies have reported the relationship between obesity and periodontal disease, 11,[13][14][15][17][18][19][20][21] there is no consensus about which pathophysiological mechanism could explain this relationship. Most findings have come from studies with different methodologies for classifying periodontal disease, or with cross-sectional designs or selected or small samples.…”

Section: Discussionmentioning

confidence: 99%

“…9 However, it is not totally clear what the causal pathway between PD and CVD risk is. 10 Many observational studies have evaluated the association between different levels of periodontal disease and traditional CVRFs, such as obesity or correlated measurements, [11][12][13][14][15][16][17][18][19][20][21] while others have reported some association with diabetes 22 or metabolic disorders. 23,24 Among these studies, most reported an increased odds ratio (OR) for the relationship between obesity and periodontal disease.…”

Section: Introductionmentioning

confidence: 99%

“…23,24 Among these studies, most reported an increased odds ratio (OR) for the relationship between obesity and periodontal disease. 13,15,[17][18][19][20][21] Despite the importance of PD as a potential emerging cardiovascular risk, 25,26 there is a paucity of systematic data that might justify inclusion of dental examination as a screening strategy for intermediate to high-risk individuals such as those presenting obesity or diabetes and those with a previous family history of CHD. 1,27 Moreover, there are no studies that included comprehensive dental examination, including data on oral hygiene and cardiovascular risk factor evaluation at the same time, in a young to middleaged population.…”

Section: Introductionmentioning

confidence: 99%

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Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study

et al. 2017

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CONTEXT AND OBJECTIVE: It has been suggested in the literature that periodontal disease (PD) is associated with cardiovascular risk. The objective of this study was to appraise the relationship between periodontal disease (gingivitis and periodontitis) and traditional cardiovascular risk factors (obesity, hypertension, dyslipidemia, diabetes and metabolic syndrome) among young and middle-aged adults attended at a health promotion and check-up center in the city of São Paulo, Brazil. DESIGN AND SETTING: Cross-sectional study at the Health Promotion and Check-up Center of Hospital Sírio-Libanês, São Paulo, Brazil. METHODS:We consecutively evaluated 539 subjects without prior cardiovascular disease who were seen within a health promotion program that included cardiovascular and dental evaluation between February and November 2012. Odds ratios (OR) with respective 95% confidence intervals (95% CI) for the association between PD and cardiovascular risk factors were ascertained through multinomial logistic regression. RESULTS: In this sample of mean age 45 years (standard deviation, SD ± 8.8), which was 82% male, we found PD in 63.2% (gingivitis 50.6% and periodontitis 12.6%). Individuals with PD were older, more obese (without PD 15.2%; versus gingivitis 22.1% and periodontitis 32.4%) and more diabetic (without PD 5.1%; versus gingivitis 4.8% and periodontitis 13.2%), compared with those without PD. Among all cardiovascular risk factors evaluated, obesity was associated with periodontitis (multivariate OR, 2.36; 95% CI, 1.23-4.52). However, after additional adjustment for oral hygiene, this finding was no longer significant (multivariate OR, 1.63; 95% CI, 0.79-3.37). CONCLUSIONS:We did not find any significant associations between cardiovascular risk factors and periodontal disease in this sample. RESUMO CONTEXTO E OBJETIVO:A literatura sugere que doença periodontal (DP) está associada ao risco cardiovascular. O objetivo deste estudo foi avaliar a relação entre doença periodontal (gengivite e periodontite) e fatores de risco cardiovasculares tradicionais (obesidade, hipertensão, dislipidemia, diabetes e síndrome metabólica) em adultos jovens e de meia-idade atendidos em um centro de promoção da saúde e check-up na cidade de São Paulo, Brasil. TIPO DE ESTUDO E LOCAL: Estudo transversal no Centro de Promoção de Saúde e check-up do HospitalSírio-Libanês, São Paulo, Brasil. MÉTODOS: Avaliamos consecutivamente 539 indivíduos sem doença cardiovascular diagnosticada, observados em um programa de promoção da saúde que incluiu avaliação cardiovascular e odontológica de fevereiro a novembro de 2012. Razões de chances (RC) com respectivos intervalos de confiança de 95% (IC 95%) para a associação entre DP e fatores de risco cardiovascular foram calculadas por regressão logística multinomial. RESULTADOS: Nesta amostra de pessoas com idade média de 45 anos (desvio padrão, DP ± 8,8), 82% de homens, encontramos 63,2% de casos de DP (50,6% de gengivite e periodontite 12,6%). Indivíduos com DP eram mais velhos, mais obesos (se...

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The Relationship Between Body Mass Index and Periodontitis in the Copenhagen City Heart Study

Abstract: BMI may be inversely associated with clinical AL but positively related to BOP.

Cited by 82 publications

References 32 publications

Association between Pre-pregnant Overweight and Obesity and Periodontal Disease during Pregnancy: A Cross Sectional Study

Association between Pre-pregnant Overweight and Obesity and Periodontal Disease during Pregnancy: A Cross Sectional Study

Immunoglobulin G antibodies againstPorphyromonas gingivalisorAggregatibacter actinomycetemcomitansin cardiovascular disease and periodontitis

Relationship between periodontal disease and cardiovascular risk factors among young and middle-aged Brazilians. Cross-sectional study

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